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Home- And Community-Based Services Make Up $69.5 Billion Of Fee-For-Service Medicaid Expenditures

Whole Medicaid managed care spending throughout all 50 states noticed a rise final 12 months. In reality, spending checked in at $420.5 billion in 2021, in comparison with $359.6 billion in 2020, based on information collected within the annual CMS-64 Medicaid expenditure report.

Moreover, dwelling and community-based providers make up a giant chunk of this spending. At $69.5 billion, these providers are accountable for 24% of fee-for-service spending. Private care was accountable for $12.6 billion, or 4.4%.

One main issue that contributed to spending progress for complete Medicaid managed care was increased Medicaid enrollment as a result of COVID-19 pandemic.

General, complete Medicaid managed care spending spiked 16.9% in 2021. This can be a reverse from a earlier development. Earlier than 2020, the speed of progress had been reducing since 2016. Because the COVID-19 pandemic, the speed of progress has been growing.

When trying on the information on the state degree, the report discovered that common managed care group spending elevated 17.6% in 2021 for the 44 states that contract with risked-based organizations.

At 63.3%, North Carolina noticed the very best — on a proportion foundation — year-over-year progress in Medicaid managed care spending. This bump was as a result of implementation of its risk-based Medicaid managed care program.

Of the states that had extra established applications, Colorado noticed the quickest progress in 2021 at 59%. Nebraska was proper behind Colorada at 55.6%.

In greenback phrases, Illinois noticed the largest enhance in Medicaid managed care year-over-year spending progress at $5.5 billion.

Among the different states that noticed main year-over-year spending will increase, in greenback phrases, are Texas at $5.2 billion, California at $5.2 billion and New York at $5.1 billion.

There have been 13 states that didn’t make the most of risk-based complete Medicaid managed care in 2021. These had been normally smaller states.

In complete, Medicaid spending throughout these 13 states was $29.8 billion. These states embrace Alabama, Alaska, American Samoa, Connecticut, Guam, Maine, Montana, Northern Mariana Islands, Oklahoma, South Dakota, Vermont, Virgin Islands and Wyoming.

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